Individual provider Active NPI

Hao A. Ly, MD

  • Emergency Medicine Physician
  • Crossville, TN
National Provider Identifier
1861437378
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD450962 Issued in PA
Practice address
421 S Main St
Crossville, TN 38555-5048
Phone
(931) 484-9511
NPI assigned
Jun 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 29369 TN
Emergency Medicine Physician 207P00000X MD450962 PA Primary

Addresses

Primary practice location

421 S Main St
Crossville, TN 38555-5048

Mailing address

1431 Centerpoint Blvd
Suite 100
Knoxville, TN 37932-1984

Other practice location 1

32 Central Avenue
Wellsboro, PA 16901-1840
Phone (570) 723-7764

Other identifiers 3

IdentifierTypeStateIssuer
3812851MedicaidTN
3073524OtherTNBLUE CROSS BLUE SHIELD TN
P00231561OtherTNRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, PA, DC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050802000980 TN Practitioner - Internal MedicinePractitioner - Emergency Medicine 8325076110 Reassigns benefits to 2 organizations
I20140403001395 PA Practitioner - Emergency Medicine 8325076110 Reassigns benefits to 2 organizations
I20170302000128 DC Practitioner - General Practice 8325076110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
79.37 of 100Reported as group
Quality
86.43
Promoting interoperability
100
Improvement activities
40
Cost
44.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29369TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Apr 21, 2018 Accepting new patients
MNR Industries, LLC CurrentSince Dec 10, 2016 Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Emergency Medicine CurrentSince Feb 15, 2018 Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Emergency Medicine CurrentSince Feb 15, 2018 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients

Locations

1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970

1505 E Churchville Rd
Bel Air, MD 21014
Phone (410) 420-6970

6000 Laurel Bowie Rd
Bowie, MD 20715
Phone (301) 383-0330

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

215 E Water St
Muncy, PA 17756
Phone (570) 327-8137

175 E Chester Pike
Ridley Park, PA 19078
Phone (610) 595-6000

421 S Main St
Crossville, TN 38555
Phone (931) 260-1465

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

301 Tyson Ave
Paris, TN 38242
Phone (731) 642-1220

Interoperability endpoints

  • Direct secure messaging: hao.a.ly@upmcdirect.com
  • Direct secure messaging: hly157652@upmc.direct-ci.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1861437378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 CENTERPOINT BLVD",
            "address_2": "SUITE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379321984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 S MAIN ST",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385555048",
            "telephone_number": "931-484-9511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32 Central Avenue",
            "address_purpose": "LOCATION",
            "city": "Wellsboro",
            "state": "PA",
            "postal_code": "169011840",
            "country_code": "US",
            "telephone_number": "570-723-7764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LY",
        "first_name": "HAO",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2026-09-03",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "29369",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD450962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3812851",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TN",
            "identifier": "3073524",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00231561",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossville, TN

Sources for this page

Verify at the official NPI Registry.